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"' everett <br />. ' . i� <br />CITY ENGINEERS <br />EVERETT, WASHIIVGTON <br />The Underr.�gned �lL/�/,^/i_ <br />Hereby applies for pertnission to <br />At the following <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT �,12 O �_ <br />DRIVEWAY SEC710N <br />, NO SCf+LE <br />I• _� <br />�__� LIP <br />�3O-"�-•--_. _ . _—_—__._�.���"1 <br />CO?Y OF THIS APPLICATIOV TO <br />BE POSiED O� JOBSITE. <br />CALL ENC,INEERING DEPT. 259�8817 <br />24 MiOURS BEFORE CONSTHUCTION <br />CHECK LIST <br />W3[Bf Vd�V2 <br />Drainage <br />Curb & Gut[er <br />Sidewalk <br />Inspec[or's SignaNre <br />Remarks � � � O � <br />O <br />PERMITNO. 78�' i I % <br />Ls p1;:<_��.;� i4 <br />�T— <br />�� L,v" �`1 j r F� v UJ , <br />I � ` <br />i I <br />� I <br />I � <br />I ' <br />I f <br />G. = <br />LvT � <br />�� �:- ,,� cr <br />The undersigned owner hereby � <br />save harmless the City of Everet�� <br />claims for damages that may aris <br />tion anJ maintenance of the imF <br />applied �ior and turther agrees to <br />notice from the City and to repl� <br />dama,ed thereby. <br />` Lu�TL� <br />j m� r� <br />5 <br />n <br />h <br />\ <br />to hold and <br />any and all <br />�use of install8- <br />ient herero <br />ve same upon <br />blic property , <br />v <br />�Z s� uJ ! ��� <br />D ':� <br />• �� Z <br />�? Si <br />Dept. Approvals <br />Approved by <br />CUSTo.MER Date Ap;xoved <br />